David J. Chang DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21337 Issued in TX

Legal business name

DAVID J. CHANG DDS PA

Practice address

1701 Shaver St Ste 100
Pasadena, TX 77502-2027

Phone

(713) 589-1888

Fax

(713) 589-1998

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Jonathan Chang, DDSNPI 1437245230

Title

President

Phone

(832) 465-0346

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Advanced Dental Associates Doing business as
• Excite Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jonathan Chang, DDS

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1437245230
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1851486740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SHAVER ST STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022027",
            "telephone_number": "713-589-1888",
            "fax_number": "713-589-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SHAVER ST STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022027",
            "telephone_number": "713-589-1888",
            "fax_number": "713-589-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Fairmont Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775043336",
            "country_code": "US",
            "telephone_number": "281-991-1905",
            "fax_number": "281-991-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID J. CHANG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-465-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580433-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580433-06",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL CHIPS",
            "identifier": "B2133701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Darden, PHD CCC-SLP
• Thomas Joseph Darragh, D.C.
• Samiran K Das, M.D.
• James Dattilo
• Allison Daum, M.D. ON 5/24/09
• David K Cohen Mdpa
• David W Spinks DO PLLC
• William David Davies, D.D.S.
• Ana Davila, FNP
• Manuel Davila, MD

• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.